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General NPI Number Information
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NPI Number | 1376611665
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Entity Type | Organization
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Legal Business Name | INTEGRATED SURGICAL ASSOCIATES, PLLC
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Dates
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Enumeration Date | 12/03/2006
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Last Update Date | 12/05/2008
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Provider Practice Location Address
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Address Line | 8241 GEORGIA AVE SUITE #102
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City | SILVER SPRING
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State | MD
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Zip | 20910-4510
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Country | US
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Telephone | 301-589-8737
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Fax | 240-450-5700
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Provider Business Mailing Address
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Address Line | 13437 CRANDALL CT
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City | RICHMOND
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State | VA
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Zip | 23233-1029
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Country | US
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Telephone | 804-360-1855
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Fax | 804-360-1629
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Authorized Official
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Title or Position | OWNER
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Name | GARY C HARRINGTON
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Credential | M.D.
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Telephone | 804-360-1855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D0061148
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License Number State | MD
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